CASE 18: Prostate cancer lumbar spine metastasis

• 83-year-old male patient
• The patient presented to us on a stretcher due to persistent and worsening lower back pain and leg weakness that prevented him from walking for a month. • The patient had a severe fracture in the second lumbar vertebra due to prostate metastasis and spinal cord compression. The tumor and fracture fragments were removed, and the resulting cavity was reconstructed with a special implant (titanium cage) and strengthened with cemented screws (stabilization/instrumentation). This procedure was successfully performed.
• The patient was discharged walking without any problems.

BEFORE THE OPERATION: The MRI shows that the second lumbar vertebra has fractured and collapsed, causing severe spinal cord compression.

POST-OPERATIVE: THE VIDEO SHOWS THE REMOVAL OF THE CLEANED FRACTURED FRACTURES, THE PLACEMENT OF A CAGE IN THE TUMOR, AND THE STRENGTHENING OF THE TWO LOWER AND UPPER VERTEBRAE WITH CEMENTED SCREWS (INSTRUMENTATION).